US6962592B2 - Allograft implant cutting machine - Google Patents
Allograft implant cutting machine Download PDFInfo
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- US6962592B2 US6962592B2 US10/241,233 US24123302A US6962592B2 US 6962592 B2 US6962592 B2 US 6962592B2 US 24123302 A US24123302 A US 24123302A US 6962592 B2 US6962592 B2 US 6962592B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4644—Preparation of bone graft, bone plugs or bone dowels, e.g. grinding or milling bone material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1635—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for grafts, harvesting or transplants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
- A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
- A61F2002/2839—Bone plugs or bone graft dowels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4644—Preparation of bone graft, bone plugs or bone dowels, e.g. grinding or milling bone material
- A61F2002/4649—Bone graft or bone dowel harvest sites
Definitions
- the present invention relates to implants to be placed into the human body to replace, at least structurally, portions of the body removed because of damage or disease. It also relates to fabricating such implants from tissue donated from deceased persons, commonly referred to as allograft tissue, and in particular it relates to the tools or machines used to fabricate such implants from allograft tissue. It further relates to implants used to replace a portion of the bony structure of the human body, more especially to implants which are designed to fill the intervertebral space created by the partial or complete removal of a damaged spinal disc. Finally and specifically it relates to the apparatus for and method of creating intervertebral implants from allograft bone.
- Natural intervertebral spinal discs serve, among other things, as cushions and shock absorbers for columnar spinal loadings. In addition, they serve to preserve the spacing of vertebrae necessary for the mechanical integrity of channels which protect the spinal cord and the nerve branches therefrom which innervate various portions of the human body. Frequently, however, accident trauma, degenerative disc disease, and other pathogenesis can compromise all or a portion of the disc's ability to provide mechanical support and integrity.
- the most frequent surgical intervention is to attempt to achieve bony fusion of the vertebrae through the space from which tissue has been excised.
- the process involves inducing fusion of adjacent vertebrae, that is, the joining together of two or more vertebrae by a continuous bridge of new bony tissue.
- an implant serves as a substrate for bone growth.
- bone from cadavers Such donor bone, also referred to as allograft bone, is used after preparation that minimizes the likelihood of infection and of immune system rejection by the patient.
- Cancellous bone is frequently preferred for implantation, because the interstitial spaces allow the ready flow of blood through the implant, which facilitates the growth of new bone tissue.
- cortical bone is also used.
- the allograft implant must also be prepared by shaping it to conform to the space in which it is to be implanted and wherein it will provide strength and stability to the spinal region from which the damaged or diseased disc has been removed.
- Allograft bone must be shaped into special configurations according to the specific type of fusion graft deemed desirable.
- the use of a dovetail fusion graft as disclosed in Nicholson, et al. U.S. Pat. No. 6,096,080, means that an appropriately sized piece of allograft bone must be cut from the donor bone.
- the most effective use of the tissue donated for specialized bone graft shapes requires that the bone-cutting process must be reasonably efficient and very accurate.
- allograft bone of interest has specific physical properties which must be taken into account in designing machinery to produce implants from it.
- cancellous or trabecular bone has a cellular structure which makes such bone difficult to handle.
- Allograft bone used for implantation must be treated chemically and physically in order to minimize the risk of transmitting agents of disease or substances which could trigger an immune rejection by the patient. These treatments often include processes as harsh as boiling.
- cancellous or trabecular bone in particular which is frequently of the most interest for spinal implants, is left in an amorphous, soft state which has been characterized as somewhat like a hard boiled egg. Cutting such a substance cleanly and precisely is obviously a challenge. Prior art or obvious methods of shaping such a substance would most likely produce a mushy or crumbled unusable mass.
- one object of the present invention is to provide an apparatus by which to cut allograft spinal fusion implants having standard shapes in multiple sizes from donor bone.
- a further object of the current invention is to provide an apparatus which can shape bone in a manner consistent with the delicate structure and consistency of cancellous or trabecular bone.
- Another object of the present invention is to provide an apparatus by which to cut donor bone accurately, with minimum waste, and to provide for easy maintenance, rapid blade changes, and rapid cleanup between batches.
- Another object of the present invention is to provide an apparatus that provides for an efficient, repeatable means to cut shaped implants in standard shapes and sizes from donor bone.
- Another object of the present invention is to provide an apparatus that provides a way to cut dovetailed implants in standardized sizes from donor bone.
- Yet a further object of the present invention is to provide an apparatus by which a single operator can rapidly and safely cut multiple bone implants from a single segment of donor bone.
- cylinder and “cylindrical” are defined to refer to a generalized three-dimensional shape which can be generated by moving a straight line parallel to itself along an arbitrary closed two dimensional curve and perpendicular to the curve.
- a curve can be, but is not limited to, an ellipse, a circle, a rectangle, or a triangle, or some combination thereof.
- the present invention is an apparatus for cutting segments of allograft bone into specialized shapes so that they may be implanted in patients. Because of the very particular physical characteristics of purified allograft bone as described above, a central feature of the current invention is to use an apparatus which is analogous to a matched punch and die set with support for the to-be-shaped material both inside and outside the curve along which the cut is to be made.
- the support structure of the cutting apparatus comprises a stationary base frame and a horizontal upper plate.
- the stationary base frame comprises a horizontal base plate, a mandrel, a support portion for the mandrel, a table with an opening surrounding the top of the mandrel, and at least two vertical guide posts.
- the mandrel sits inside the opening in the table, which is configured so that the opening has the same cross-sectional shape as the mandrel, but is displaced outward by a uniform distance substantially equal to the width of a hollow cylindrical cutting blade, which is described below.
- the top surface of the mandrel is flat and its top surface and that of the table outboard of the opening are substantially flush.
- the horizontal upper plate has a penetration such that the hollow cylindrical cutting blade can be firmly attached to the plate with a substantially vertical orientation and in such a manner that it allows the cut implant portion of allograft bone to slide into the space above the horizontal upper plate, the hollow cylindrical cutting blade being oriented with the cutting surfaces downward.
- the horizontal upper plate optionally also comprises a force distributing channel arch spanning the penetration.
- the horizontal upper plate also comprises at least two cylindrical bushings configured to mate slidingly with the at least two vertical guide posts.
- the matched punch and die set analog of this invention comprises the hollow cylindrical cutting blade, which mates slidingly over the mandrel, which has a substantially identical cross sectional shape. It further includes an outer support comprising the cylindrical opening in the table, which is disposed outside the mandrel and shaped such that the cylindrical cross-sectional shape of the opening is substantially the same as that of the mandrel but displaced uniformly outward by substantially the same distance as the thickness of the cylindrical cutting blade and such that the cylindrical cutting blade slides snugly but smoothly into and out of the space established between the mandrel and the opening in the table.
- the blade of the hollow cylindrical cutting blade additionally comprises, on the leading, and therefore cutting, edge, protrusions, and in some embodiments points, all with sharpened cutting edges configured so as to slice cleanly into the bone from which the implant is to be cut.
- the hollow cylindrical cutting blade optionally comprises a flat mounting flange that is detachably secured with machine screws to the horizontal upper plate.
- the mandrel located on the stationary base plate slidably receives over it the hollow cylindrical cutter attached to the horizontal upper plate.
- a segment of bone to be shaped is placed upon the mandrel and on the table and downward pressure is applied to the horizontal upper plate so that the hollow cylindrical cutting blade is driven through the allograft bone blank.
- the combination of the vertical guide posts and the bushings on the horizontal upper plate function to keep the path traveled by the hollow cylindrical cutting blade substantially parallel to the longitudinal axis of the mandrel, which in the preferred embodiment is vertical.
- the hollow cylindrical cutting blade, mandrel, and table collectively referred to as a matched cutting set, may exist in a series of similar sizes defined by at least one size-characterizing dimension.
- the flat mounting base flange of the detachable hollow cylindrical cutting blade has an alignment hole that is located to engage a locating pin affixed to the horizontal metal plate to which the flat mounting base flange of the hollow cylindrical cutting blade detachably attaches, and the alignment hole and the locating pin are located according to the size characterizing dimension of a specific matched cutting set.
- One possible cylindrical cross-section of the matched cutting blade set consists of two parallel opposing flat faces and two opposing dihedral ends designed to cut dovetail shapes. The two opposing dihedral ends are separated by a length, and the size characterizing dimension of the dovetail shape is the width between the flat parallel faces.
- Dovetail cutters are preferably available in size characterizing dimensions having 1 millimeter increments, and the length dimension is proportional to the size characterizing width for each size characterizing dimension.
- the size characterizing width is between about 8 millimeters and about 13 millimeters.
- the invention also comprises a method of cutting bone implants from donor bone as characterized by using matched cutting sets of a cylindrical cutting blade, a corresponding mandrel and matching table with a central cylindrical cross sectional opening disposed about the mandrel so as to create a slot just the width of the hollow cylindrical blade, upon which a donor bone is placed and the hollow cylindrical cutting blade is forced through the donor bone and over the mandrel.
- FIG. 1 is an oblique view of the apparatus of the present invention
- FIG. 2A is an oblique view of one of the matched die-set pairs of the present invention.
- FIG. 2B is an end-on detail of one of the guide shafts shown in FIG. 2A ;
- FIG. 2C is a top view of an exemplary cutting blade
- FIG. 2D is a top view of another exemplary cutting blade
- FIG. 3A is an oblique view of the bottom side of the top portion of one of the matched die set pairs, showing the cutting blade;
- FIG. 3B is an oblique view of the bottom side of the top portion of one of the matched die-set pairs, with the cutting blade removed;
- FIG. 4A is a view of the bottom side of the top portion of one of the 9-mm die set pair, showing the identifying locations of the blade's locating pins and alignment hole pattern that matches the top portion and bottom portion of the 9-mm die pair set;
- FIG. 4B is a view of the bottom side of the top portion of one of the 10-mm die set pair, showing the identifying locations of the blade's locating pins and alignment hole pattern that matches the top portion and bottom portion of the 10-mm die pair set;
- FIG. 4C is a view of the bottom side of the top portion of one of the 11-mm die set pair, showing the identifying locations of the blade's locating pins and alignment hole pattern that matches the top portion and bottom portion of the 11-mm die pair set;
- FIG. 4D is a view of the bottom side of the top portion of one of the 12-mm die set pair, showing the identifying locations of the blade's locating pins and alignment hole pattern that matches the top portion and bottom portion of the 12-mm die pair set;
- FIG. 5A shows a die set pair with a vertebral body ready to be cut
- FIG. 5B shows a die set pair with the implant having been cut from the vertebral body.
- FIG. 1 A first figure.
- the present invention is an apparatus for producing bone implants of various shapes and sizes.
- the production process consists of cutting the implants from human donor bone, also referred to herein as allograft bone.
- the apparatus described herein is primarily intended for use in the rapid processing of harvested human donor bones. It provides a precision cut to standard sizes so as to provide the proper fit of the graft during surgical implantation.
- the bone cutting apparatus of the present invention consists of a press and a series of cutting die sets in which special hollow cylindrical cutting blades are mounted in a way intended to allow the cutting blade to descend over a matchingly shaped but stationary and vertically oriented mandrel.
- the mandrel has a substantially flat top held in position by vertical support and is surrounded by a table with a top which has an opening matched in shape to the cross-section of the mandrel but with its perimeter displaced outward by the same amount as the thickness of the hollow cylindrical cutting blade.
- the table is disposed such that the top surface of the table is flush with the top surface of the mandrel. The mandrel and the table thus together establish a slot into which the hollow cylindrical cutting blade can slide.
- the table outboard of the slot provides support to the allograft bone blank so that the integrity of the material will not be compromised by the cutting process.
- the hollow cylindrical cutting blade, the mandrel, and the table comprise a matched cutting set that can cut specific shapes and sizes of bone grafts from allograft bone blanks.
- the press applies downward force which drives the hollow cylindrical cutting blade downward so as to slice through a piece of bone resting upon the mandrel.
- the gap or slot between the mandrel and the table controls the sideward or horizontal movement of the blade so that the blade makes a clean cut and the integrity of the blank material is not compromised.
- the invention also provides safety features such as a unique proximity switch that requires two hands to initiate the bone cutting process and an emergency cut-off switch which can be activated with a single hand.
- Each matched cutting set has sharp edges designed for a specific bone slicing or cutting process.
- the matched cutting set is a shaped cutter of product-specific size and shape designed to precisely cut an implant shape of a specific size, such as a dovetail shape, from a piece of donor bone.
- the implant is designed to be installed into an intervertebral space which has been prepared such that the dovetail implant locks into the adjacent vertebrae being fused, as described in U.S. Pat. No. 6,096,080.
- the matched cutting sets are made in a multiplicity of sizes and shapes.
- the cutters or die sets are the central feature of the invention; they will repeatedly, and with a single stroke action, produce a precision cut bone graft implant shape.
- the shape can be any two-dimensional cross-sectional configuration extending the length of the implant being produced, that is, the aforementioned dovetail shape is not the only shape that might be cut with the present invention.
- the maximum dimension of the implant being cut corresponds, of course, to the size of the donor bone from which the implant is being cut. After the implant is sliced from the donor bone, a final cut-to-length is accomplished with the cut-off tool with the addition of a size-specific test to ensure squareness and precise length control.
- the die sets of the present invention are designed for rapid change out in the press to accommodate aseptic batch runs. That is, only the vertebral bodies of a single donor can be in the processing area during the cutting operation.
- the batch process with the requisite cleaning makes it important to provide for rapid change out of the die sets and for easy cleaning. While one set is being cleaned, another can be moved into place and the process started for another donor's bones.
- An additional characteristic of this process is the low cost of each die set, as several sets of each die set size are required because after each batch run the die sets must be cleaned and sterilized.
- Each given matched cutting set is to be manufactured as a matched set in order not to have one or the other component exchanged with a component of the same size from another set. Also, provisions have been made to ensure that a given size of die cutter blade will be used only with the matching parts with which it was manufactured; the specific provisions are alignment holes and bolt patterns.
- FIG. 1 there is shown in oblique perspective view the total bone cutting assembly 2 consisting of a base 4 , a pneumatic piston assembly 6 , a swing arm 8 rotationally attached to the base frame by way of a swing-arm shaft 9 .
- a transitional sub-assembly 10 which conveys downward force from the swing are to a die-set assembly 12 in a way that allows for relative translational motion.
- a piece of bone blank 3 is shown positioned awaiting cutting.
- FIGS. 5A and 5B show the basic elements of the bone cutting operation.
- FIG. 2A shows the die cutter or die set assembly 12 in oblique view.
- the die-set assembly 12 is the central active part of the bone cutting assembly 2 shown in FIG. 1 .
- the die set assembly 12 consists of a stationary base frame portion 16 consisting of a horizontal metal base plate 17 , a vertically oriented support portion 19 attached to the stationary base plate and having an uppermost flat surface of a mandrel 25 .
- a table 24 Surrounding the flat mandrel top surface 25 is a table 24 having a top surface that is flush with the flat mandrel surface; a clearance gap 26 exists between the table and the said uppermost flat mandrel surface 25 .
- the base plate 17 also has attached to it two vertical guideposts 18 , each of which has a flat sided surface 18 ′.
- the cutting assembly 12 also has an upper moveable portion, denominated the horizontal upper plate assembly 21 , which slides upon the guideposts 18 .
- the upper moveable portion or horizontal upper plate assembly consists of a horizontal metal plate 14 having a penetration 3 through it and two bushings 20 that slide upon the two vertical guideposts 18 .
- the penetration 3 allows the cut portion of allograft bone to slide into the open space above the horizontal upper plate.
- a hollow cylindrical cutting blade 22 is attached to the horizontal metal plate and oriented downward from beneath the penetration 3 in the horizontal metal plate and able to slide over the vertically oriented cylindrical support portion 19 of the mandrel 25 .
- the hollow cylindrical cutting blade 22 is designed to slide over the mandrel 25 and its vertically oriented cylindrical support portion 19 .
- a rectangular force distributing channel arch 5 spans the penetration 3 and distributes downward force to the moving metal plate 14 .
- the mandrel 25 of the vertically oriented cylindrical support portion 19 of the stationary base plate 17 can slidably receive over it the hollow cylindrical cutting blade 22 attached to the horizontal upper plate assembly 21 .
- the vertically oriented support portion 19 , the mandrel 25 , the hollow cylindrical cutting blade 22 B, and the table 24 together comprise a matched cutting set.
- the hollow cylindrical cutting blade 22 mates with the matched mandrel 25 of the male portion 19 which is contiguous with the lower stationary portion 16 of the cutting set assembly 12 , and when the upper moveable portion 21 descends, the hollow cylindrical cutting blade 22 descends through the gap 26 between the table 24 and the mandrel 25 at the top of the vertically oriented cylindrical male portion 19 , and then the blade 22 descends over the male portion 19 .
- the size and shape of the penetration 3 in the horizontal metal plate 14 of the upper moveable portion 21 is such as to allow passage therethrough of any object that can pass through the internal passageway any given cylindrical shape of the hollow cylindrical cutting blade 22 . Together these items comprise a matched cutting set comprising the assembly 12 shown in FIG. 1 .
- FIG. 2B is a detail of the cross section of the guide posts 18 showing the flat surface 18 ′.
- the flat surface 18 ′ ensures that the moving portion 21 gets assembled in the proper orientation to the fixed portion 16 .
- the cutting blade 22 as shown in FIG. 2A is cylindrical, as defined above.
- the cylindrical shape consists of two opposing and parallel flat faces;
- FIG. 2C shows the cylindrical shape of the matched cutting blade set consists specifically of two parallel opposing flat faces 7 and two opposing dihedral ends 11 designed to cut dovetail shapes.
- Other shapes are also contemplated, such as, but not to imply or suggest constraint to only two shapes discussed herein, the one shown in FIG. 2D which is a unitary cylindrical shape having a cross section consisting of a circular portion 13 a and a rectangular portion 13 b .
- the cylindrical shape of the matched cutting blade set consists of a circle centered upon a rectangle having a length that exceeds the diameter of the circle and a width that is less than the diameter of the circle.
- a given matched cutting set shape is characterized in size by at least one size characterizing dimension.
- the dimension T is a size characterizing dimension of the dovetail shape.
- the cross sectional shapes such as the dovetail shape and the shape consisting of a circle with the rectangle are among possible shapes that can be cut by a correspondingly shaped hollow cylindrical cutting blade and a matched mandrel and table.
- the matched cutting blade set is of any cross sectional shape considered useful as an implant.
- Each hollow cylindrical cutting blade 22 , mandrel 19 , and table providing a given cut shape constitute a matched cutting blade set having a cylindrical shape defined by one or more size characterizing dimensions such as the dimension T in FIG. 2 C.
- the dovetail shape is the one most commonly referred to in the text and FIGURES, but that the other shape as shown in FIG. 2D in various sizes, as well as additional shapes not shown, are also intended by the inventors to be able to be cut from donor bone by the present invention.
- FIG. 3A is an oblique view of the bottom side of the upper moveable portion 21 of the matched die-set pair 12 ( FIG. 1 ) showing the metal plate 14 , the bushings 20 and the hollow cylindrical cutting blade 22 .
- FIG. 3B is an oblique view of the upper portion 21 shown inverted with the hollow cylindrical cutting blade 22 shown detached from the plate 14 .
- Machine screws 26 are used to detachably mount the blade 22 to the plate 14 by way of the blade's mounting base flange 23 . That is, the cutting blade 22 is detachable from the metal plate 14 .
- Two flat-head allen screws 26 hold the cutting blade 22 in place.
- the flat mounting base flange 23 of the detachable hollow cylindrical cutting blade 22 has an alignment hole 15 that is located to engage a locating pin 15 ′ affixed to the horizontal metal plate 14 to which the flat mounting base flange of the hollow cylindrical cutting blade detachably attaches.
- the respective and corresponding location of the alignment hole 15 and the locating pin 15 ′ are located according to at least one size characterizing dimension of a given matched cutting set, such as the thickness dimension T shown in FIG. 2 C. That is, the two opposing parallel flat faces and two opposing dihedral ends separated by a length dimension comprise a cutting shape having a size characterizing dimension T that is the width between the flat parallel faces.
- the size characterizing width T is between about 8 millimeters and about 13 millimeters and most preferably of between about 9 millimeters and about 12 millimeters.
- FIGS. 4A , 4 B, 4 C and 4 D show, in perspective view, the bottom sides of four preferred sizes of the upper portions 21 of matched pairs of the horizontal upper plate 21 of the present invention, along with the different locations of key holes, alignment pins and screw holes that correspond to different sizes of the dovetail width dimension T.
- FIG. 4A shows the upper portion 21 of the 9-millimeter cutting blade. The size of the blade the refers to the thickness T of the implant, as shown in FIG. 2 C. That is, T is the internal linear dimension between the two flat, parallel faces 7 of the implant shape shown in FIG. 2 C. As shown in the FIGS.
- each cutting blade 22 is matched in size to a specific metal plate part of a horizontal upper plate 14 by way of two features, namely the locations of the screws 26 and the location of an alignment pin 30 .
- FIG. 4A shows a 9-mm cutting blade 22 affixed to the upper portion 14 by two screws, one located in the upper right and one in the lower left in the view shown.
- the locator pin or alignment pin 30 is also shown for the 9-mm cutting blade to be in the upper left corner in the view shown in FIG. 4A of the main plate 14 of the upper moveable portion 21 to which the cutting blade 22 is affixed.
- the screws and locator pins for the cutting blades sized 10 mm, 11 mm, and 12 mm are as shown in FIGS. 4B , 4 C and 4 D respectively; the patterns of screws and alignment pins shown are, of course, exemplary in the sense that they show only the basic principle of matching a specific hollow cylindrical cutting blade 22 with the corresponding plate 14 to which it is intended to be attached.
- FIG. 4B a single key hole 32 , at the lower right in the view, serves the same die-set matching feature of the 10-mm die cutting set.
- FIG. 4C shows three key holes 32 arranged across the bottom of the plate 14 in the view, so as to identify and match the two parts or portions of the 11-mm die set.
- FIG. 4D shows a single key hole 32 in the lower left in the view, which identifies the respective parts as a matching 12-mm dovetail set.
- the present invention contemplates the matching of three components pairs:
- FIGS. 5A and 5B the operation of the apparatus can be described in terms of the moving actions of the two main parts, i.e., the upper moveable portion or horizontal upper plate 21 and the lower stationary portion 16 of a single die set 12 . (See FIG. 2A. )
- FIG. 5A A vertebral body 50 is shown in FIG. 5A with its processes already removed. It is placed upon the table 24 (the mandrel 25 is out of view) of the lower stationary portion 16 .
- One of two pneumatic cylinders 6 shown in FIG. 1 is actuated by way of a proximity switch box (described below but not shown in any of the FIGURES), such that the rectangular force distributing channel arch 5 that is part of the upper portion 21 has a force F exerted upon it, making it descend upon the edge of the vertebral body 50 and cutting through it until the upper portion of the die set is pressed to its deepest position, as shown in FIG. 5B when the bushings 20 make contact with the bottom plate 17 .
- FIG. 2A shows the mandrel in oblique view and the gap 26 between the table 24 and the mandrel 25 such that the hollow cylindrical cutting blade 22 can descend down upon and around the mandrel and its support 19 .
- a precision cut implant 52 protrudes out of the horizonal plate 14 .
- Residue 54 of cut bone is left on the table 24 from which it can be removed after each cut made during batch processing of vertebral bodies from a single donor.
- the second pneumatic cylinder 6 shown in FIG. 1 lifts the moveable upper portion 21 away from the lower portion 16 , and the process is repeated.
- the entire apparatus shown in FIG. 1 can be disassembled rapidly for cleaning.
- FIGS. 1 through 5B show the vertebral body cutting assembly 2 according to the present invention and the parts and moveable actions thereof. Not shown are the ancillary components that initiate and control the cutting actions.
- a proximity switch box is used to trigger control box (described below) in a programmed cutting sequence in which the upper moveable portion 21 descends to drive the hollow cylindrical cutting blade 22 through the bone from which the implant is being cut.
- the proximity switch consists of an elongated rectangular solid having two spaced apart switches at is farthest ends from one another, i.e., spaced apart far enough to preclude single hand actuation. That is, the spaced apart arrangement of the proximity switches requires that the operator use both hands to initiate the cutting process. Two effects are achieved by this requirement of two-handed operation of the proximity switch box. First, both of the operator's hands are away the cutting assembly 2 , thereby providing one safety feature. And second, the two-handed requirement of the operation of the spaced apart switches of the proximity switch box minimizes the possibility of accidental initiation of the cutting operation, as might happen if a single switch were inadvertently touched.
- the proximity switch box initiates a programmed pneumatic-driven cutting sequence in a control box, placed far from the cutting assembly 2 .
- the control box provides air to one of the pistons 6 of the two-piston assembly, forcing the upper moveable portion 21 of the die set downward upon the bone being cut.
- a third and final ancillary component of the present invention is an emergency cut-off switch.
- the emergency cut-off switch is a rectangular solid in shape having a single red push-button switch on its top side. The operator can easily activate the emergency cut-off switch with the motion of a single hand. If the pneumatic cylinders or pistons are partially extended when the single red push-button switch is pushed, then all air is exhausted from the pneumatic cylinders. The pistons, or cylinders, and other moving parts of the invention, can then be moved freely by hand in either direction.
- Resetting of the emergency switch can be done by pulling the red emergency switch button upward and by pressing an adjacent yellow reset switch button.
- the pneumatic cylinders will then retract to the starting position in which the upper moveable portion of the die set is farthest removed from the base plate.
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- Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Physical Education & Sports Medicine (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
- 2—vertebral body cutting assembly
- 3—bone blank
- 4—base
- 6—pneumatic pistons
- 8—swing arm
- 9—swing-arm shaft
- 10—transitional sub-assembly which conveys downward force
- 12—die-set assembly
FIG. 2A - 5—force distributing channel arch
- 12—die-set assembly
- 14—metal plate part of upper moveable portion or horizontal upper plate
- 16—lower stationary portion
- 17—metal plate part of lower stationary portion
- 18—vertical guide posts
- 18′—flat surface on guide post
- 20—bushings
- 19—vertically oriented support portion of mandrel
- 21—upper moveable portion
- 22—hollow cylindrical cutter blade
- 24—table
- 25—mandrel
- 26—clearance gap between ‘table’ and ‘mandrel’
FIG. 2B - 18—vertical guide posts
- 18′—flat surface on guide post
FIG. 2C - 7—parallel sides of dovetail
- 11—dihedral ends of dovetail
FIG. 2D - 13 a—circular portion of implant shape
- 13 b—rectangular portion of implant shape
FIG. 3A - 5—force distributing channel arch
- 12—die set pair
- 14—metal plate
- 15—locator pin hole
- 20—bushings
- 21—horizontal upper plate assembly (sometimes referred to as upper moveable portion)
- 22—hollow cylindrical cutting blade
- 23—flange of cutting blade
- 26—flat head alien screws
FIG. 3B - 5—force distributing channel arch
- 12—die set pair
- 14—metal plate
- 20—bushings
- 21—upper moveable portion
- 22—hollow cylindrical cutting blade
- 23—flange of blade
- 26—flat head allen screws
FIGS. 4A through 4D - 14—metal plate
- 15—locator pin hole
- 15′—locator pin
- 20—bushings
- 21—horizontal upper plate assembly (sometimes referred to as upper moveable portion)
- 22—hollow cylindrical cutting blade
- 23—flange of blade
- 26—flat head allen screws
- 30—location of locator/alignment pin and pin hole
- 32—key hole(s)
FIG. 5A - 5—force distributing channel arch
- 12—die set assembly
- 14—metal plate part of horizontal upper plate assembly
- 16—stationary base frame
- 17—horizontal base plate
- 18—vertical guide posts
- 19—vertical oriented support portion of mandrel
- 20—bushings
- 21—upper moveable plate assembly
- 22—cutting blade
- 24—table
- 50—vertebral body
FIG. 5B - 5—force distributing channel arch
- 12—cutting assembly
- 14—metal plate part of horizontal plate assembly
- 16—lower stationary portion
- 17—metal plate part of lower stationary portion
- 18—vertical guide posts
- 19—vertically oriented support portion of mandrel
- 20—bushings
- 21—upper moveable plate assembly
- 22—cutting blade
- 24—table
- 52—freshly cut implant
- 54—bone chips
-
- 1. The vertically oriented
mandrel 25, the hollowcylindrical cutting blade 22, and the table 24 comprise a matched cutting set. - 2. The stationary base frame portion and the upper moveable portion are a matched set. They are manufactured together with the corresponding cutting parts aligned.
- 3. The detachable hollow
cylindrical cutting blade 22 and thehorizontal metal plate 14 of the uppermoveable portion 21 are a matched set because they can most cost effectively be manufactured that way. Also, even though non-matched parts of similar size might operate well in relation to one another, the inventors anticipate the achieving of optimal precision cutting and system reliability if the parts that are manufactured as a set are maintained and used as a matched set.
Operation of the Invention
- 1. The vertically oriented
Claims (17)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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US10/241,233 US6962592B2 (en) | 2002-09-11 | 2002-09-11 | Allograft implant cutting machine |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/241,233 US6962592B2 (en) | 2002-09-11 | 2002-09-11 | Allograft implant cutting machine |
Publications (2)
Publication Number | Publication Date |
---|---|
US20040049198A1 US20040049198A1 (en) | 2004-03-11 |
US6962592B2 true US6962592B2 (en) | 2005-11-08 |
Family
ID=31991146
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/241,233 Expired - Lifetime US6962592B2 (en) | 2002-09-11 | 2002-09-11 | Allograft implant cutting machine |
Country Status (1)
Country | Link |
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US (1) | US6962592B2 (en) |
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